CPT code 44300: Enterostomy tube, open bowel-to-skin access2026 Medicare rate & RVUs in Ohio

Open placement of a bowel-to-skin tube for enteral feeding or decompression, reported when a surgeon creates enteric access through an operative approach.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3K Medicare services in 2024

In Ohio, Medicare pays $776.73 for 44300 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$776.73Hospital or facility

Check a contract rate as a % of Medicare · 44300 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 44300 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 44300 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 44300 covers

A surgeon creates an opening from the small bowel or cecum to the abdominal skin and places a tube through it. The tube may provide enteral feeding or bowel decompression. This service is generally performed in a facility operating room when open access is needed; a jejunostomy tube is a common form of enteral access, while cecostomy tubes may be used for decompression.

Report this code for open tube access, not for a non-tube ileostomy or jejunostomy. The operative note should identify the bowel segment, open approach, tube placement, and clinical purpose. The 90-day global includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this bowel-to-skin service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Ohio compares for 44300

Across 109 of 109 payment localities, the facility rate for 44300 runs from $707.74 in Nebraska to $984.67 in Alaska. Ohio pays $776.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

44300 in Ohio vs other payment areas
  1. Ohio · this page$776.73
  2. Los Angeles, CA · California$819.63+$42.90
  3. Washington, DC area · District of Columbia$875.11+$98.38
  4. Miami, FL · Florida$979.05+$202.32
  5. Chicago, IL · Illinois$947.22+$170.49
  6. Manhattan, NY · New York$929.39+$152.66
  7. Alaska · Alaska$984.67+$207.94

Other areas in Ohio first, then benchmark localities. Bars start at $0.

Every other payment area

44300 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$717.74
ArkansasArkansas—$708.21
ArizonaArizona—$772.68
Bakersfield, CACalifornia—$783.09
Chico, CACalifornia—$773.93
El Centro, CACalifornia—$774.49
Fresno, CACalifornia—$773.93
Hanford, CACalifornia—$773.93

44300 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
44300 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 44300 in every payment locality

How the 44300 rate is calculated

Each of 44300’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 44300

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.41

13.41 RVUs× 1.000 GPCI

Practice expense7.04

7.04 RVUs× 1.000 GPCI

Malpractice3.39

3.39 RVUs× 1.000 GPCI

Adjusted RVUs

23.8400

Conversion factor

$33.4009

Medicare rate

$796.28

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Ohio inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,379

Code
44300
Physician work
13.41
Practice expense
7.04
Malpractice
3.39

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Facility calculation for 44300 in Ohio
ComponentRVULocality factorAdjusted
Physician work13.41× 1.00013.4100
Practice expense7.04× 0.9136.4275
Malpractice3.39× 1.0083.4171
Total RVUs23.2546
Conversion factor× 33.4009

Facility rate, Ohio$776.73

Facility: (13.41 × 1 + 7.04 × 0.913 + 3.39 × 1.008) × $33.4009 = $776.73

Open 44300 in the RVU calculator

Payment rules and modifiers for 44300

44300 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44300

Enterostomy tube, open bowel-to-skin access

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 44300

Enterostomy tube, open bowel-to-skin access

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

44300 without 51 · national facility

$796.28

Enterostomy tube, open bowel-to-skin access

44300-51 · Second procedure: 50%

$398.14

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 44300 has changed in Ohio

44300 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$776.73RVU26D
2026-07-01Not available in this setting$776.73RVU26C
2026-04-01Not available in this setting$776.73RVU26B
2026-01-01Not available in this setting$776.73RVU26A
2025-10-01Not available in this setting$801.91RVU25D
2025-07-01Not available in this setting$801.91RVU25C
2025-04-01Not available in this setting$801.91RVU25B
2025-01-01Not available in this setting$801.91RVU25A
2024-10-01Not available in this setting$821.76RVU24D
2024-07-01Not available in this setting$821.76RVU24C
2024-04-01Not available in this setting$821.76RVU24B
2024-03-09Not available in this setting$821.76RVU24AR
2024-01-01Not available in this setting$808.35RVU24A
2023-10-01Not available in this setting$834.90RVU23D
2023-07-01Not available in this setting$834.90RVU23C
2023-04-01Not available in this setting$834.90RVU23B
2023-01-01Not available in this setting$834.90RVU23A
2022-10-01Not available in this setting$855.74RVU22D
2022-07-01Not available in this setting$855.74RVU22C
2022-04-01Not available in this setting$855.74RVU22B
2022-01-01Not available in this setting$855.74RVU22A
2021-10-01Not available in this setting$854.82RVU21D
2021-07-01Not available in this setting$854.82RVU21C
2021-04-01Not available in this setting$854.82RVU21B
2021-01-01Not available in this setting$854.82RVU21A
2020-10-01Not available in this setting$868.21RVU20D
2020-07-01Not available in this setting$868.21RVU20C
2020-04-01Not available in this setting$868.21RVU20B
2020-01-01Not available in this setting$868.21RVU20A
2019-10-01Not available in this setting$859.06RVU19D
2019-07-01Not available in this setting$859.06RVU19C
2019-04-01Not available in this setting$859.06RVU19B
2019-01-01Not available in this setting$859.06RVU19A
2018-10-01Not available in this setting$856.74RVU18D
2018-07-01Not available in this setting$856.74RVU18C
2018-04-01Not available in this setting$856.74RVU18B
2018-01-01Not available in this setting$856.74RVU18AR1
2017-10-01Not available in this setting$852.66RVU17D
2017-07-01Not available in this setting$852.66RVU17C
2017-04-01Not available in this setting$852.66RVU17B
2017-01-01Not available in this setting$852.66RVU17A
2016-10-01Not available in this setting$851.66RVU16D
2016-07-01Not available in this setting$851.66RVU16C
2016-04-01Not available in this setting$851.66RVU16B
2016-01-01Not available in this setting$851.66RVU16A
2015-10-01Not available in this setting$851.27RVU15D
2015-07-01Not available in this setting$851.27RVU15C
2015-04-01Not available in this setting$847.04RVU15B
2015-01-01Not available in this setting$847.04RVU15A
2014-10-01Not available in this setting$851.12RVU14D
2014-07-01Not available in this setting$851.12RVU14C
2014-04-01Not available in this setting$851.12RVU14B
2014-01-01Not available in this setting$851.12RVU14A
2013-10-01Not available in this setting$853.31RVU13D
2013-07-01Not available in this setting$853.31RVU13C
2013-04-01Not available in this setting$853.31RVU13B
2013-01-01Not available in this setting$853.31RVU13AR

Price 44300 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

44300 billing questions

How is this different from 44310?

This code includes placement of a tube through an open bowel-to-skin access. Code 44310 describes a non-tube ileostomy or jejunostomy.

Does the code include the tube placement?

Yes. The open enteric access and placement of the tube are part of the reported service; they are not separate portions of this procedure.

When is modifier 50 appropriate?

Modifier 50 is not appropriate because this bowel-to-skin procedure is not a paired bilateral service.

What documentation supports reporting this code?

Document the open operative approach, the bowel segment used, the tube placement, and whether access is for feeding or decompression.

How does the global period affect postoperative visits?

The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 44300PPRRVU2026_Oct_nonQPP.csv, line 5,379 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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